| Crossroads Dental Care | |
|
5781 Lee Blvd Unit 103 Lehigh Acres FL 33971-6338 | |
| (239) 334-0037 | |
| (239) 332-4169 |
| Full Name | Crossroads Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5781 Lee Blvd Unit 103, Lehigh Acres, Florida |
| Authorized Official Name and Position | William A. Greider (OWNER) |
| Authorized Official Contact | 2393340037 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Dental Care 5781 Lee Blvd Unit 103 Lehigh Acres FL 33971-6338 Ph: (239) 334-0037 | Crossroads Dental Care 5781 Lee Blvd Unit 103 Lehigh Acres FL 33971-6338 Ph: (239) 334-0037 |
| NPI Number | 1992724116 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992724116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8703 (Florida) | Primary |
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